NPI 1154716512

Itl Pharma

Organisation Clinical Medical Laboratory Kingsport, TN

Practice location

Address: 100 Coley St, Kingsport, TN 37660-1505
Phone: (423) 444-1474

Authorised official

Name: Keith R Latham
Title: Ceo
Phone: (423) 444-1474

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 00004115 (TN)

Other Clinical Medical Laboratory providers in Tennessee →

Registry record

NPI: 1154716512
Entity type: Organization
NPI issued: 2 Apr 2015
Record last updated: 2 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.